Provider Demographics
NPI:1629197108
Name:PARKER, CHRISTIE CLARK (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:CLARK
Last Name:PARKER
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 OAK SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-3534
Mailing Address - Country:US
Mailing Address - Phone:334-616-0731
Mailing Address - Fax:
Practice Address - Street 1:3116 OAK SPRINGS DR
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-3534
Practice Address - Country:US
Practice Address - Phone:334-616-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP004883235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist